# 健康保険法施行令 / Order for Enforcement of the Health Insurance Act — 第六十五条 (Article 65)

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- Law: 健康保険法施行令 (Order for Enforcement of the Health Insurance Act), 大正十五年勅令第二百四十三号
- English title "Order for Enforcement of the Health Insurance Act": claude-opus-5-5
- Kind: ImperialOrder — the distinction between 法律 (Act), 政令 (Cabinet Order), 省令 (Ministerial Order) and 条例 (local ordinance) decides who may issue it and what it may say.
- Provision: 第六十五条 (Article 65)（交付金） — address `art-65`
- Text in force since: 2026-10-01
- URL (the page that opens at this provision): https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-65
- e-Gov law ID: 215IO0000000243 — never renamed. A permanent link, `/l/{lawId}/{address}` on this site, redirects to the page.
- Every provision below carries its address and its URL on the line under it.
- Japanese text: e-Gov 法令検索, Digital Agency (デジタル庁). English: as marked on each line below.

Only the Japanese as published by the government has legal effect; the text
below is a copy of it. Every English rendering below is a translation and
says which kind: the Ministry of Justice's translation, or this
site's machine translation, whose model and date the Sources list names.
They are never merged and never substituted for one another.

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### 第六十五条（交付金） — Grant
<sup>caption: machine translation, not official</sup>
<sup>art-65 · https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-65</sup>

**第一項**  法附則第二条第一項の規定により連合会が行う交付金の交付の事業は、次に掲げる基準に適合するものでなければならない。
<sup>art-65/par-1 · https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-65/par-1</sup>
The project for the provision of grants carried out by the federation pursuant to Article 2, paragraph (1) of the Supplementary Provisions of the Act must conform to the following standards:
<sup>machine translation, not official</sup>

  **一**  交付金の交付の対象となる健康保険組合は、次のいずれかに該当するものであること。
  <sup>art-65/par-1/item-1 · https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-65/par-1/item-1</sup>
  a health insurance society that is to be covered by the provision of grants is to fall under either of the following:
  <sup>machine translation, not official</sup>

    **イ**  その所要保険料率（当該年度において各健康保険組合が行った医療に関する給付（法第五十三条に規定するその他の給付を除く。以下「医療給付」という。）並びに前期高齢者納付金等、後期高齢者支援金等及び日雇拠出金並びに流行初期医療確保拠出金等の納付に要した費用の額（出産育児交付金（前期高齢者交付金がある場合には、出産育児交付金及び前期高齢者交付金）の額を控除した額）の見込額を当該年度における当該各健康保険組合の組合員である被保険者の標準報酬月額の総額及び標準賞与額の総額の合算額の見込額で除して得た率をいう。以下同じ。）が連合会の会員である全健康保険組合の平均の所要保険料率以上である健康保険組合であって、医療給付、保健事業及び福祉事業の実施並びに前期高齢者納付金等、後期高齢者支援金等及び日雇拠出金並びに流行初期医療確保拠出金等の納付に係る財政の負担を軽減することが必要であると認められるもの
    <sup>art-65/par-1/item-1/sub-1 · https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-65/par-1/item-1/sub-1</sup>
    a health insurance society whose required premium rate (meaning the rate obtained by dividing the estimated amount of the expenses required for the benefits relating to medical care provided by each health insurance society in that year (excluding other benefits prescribed in Article 53 of the Act; hereinafter referred to as "medical care benefits") and for payment of young-old payments, etc., aid for the old-old, etc., day laborer contributions, and contributions for securing medical care in the early phase of an epidemic, etc. (the amount after deducting the amount of childbirth and childcare grants (where there is a young-old subsidy, the amount of childbirth and childcare grants and the young-old subsidy)) by the estimated amount of the total sum of the total amount of standard monthly remuneration and the total amount of standard bonus amounts of the insured persons who are members of that health insurance society in that year; the same applies hereinafter) is the average required premium rate of all health insurance societies that are members of the federation or more, and for which it is found necessary to lighten the financial burden relating to the provision of medical care benefits, the implementation of healthcare services and welfare services, and the payment of young-old payments, etc., aid for the old-old, etc., day laborer contributions, and contributions for securing medical care in the early phase of an epidemic, etc.;
    <sup>machine translation, not official</sup>

    **ロ**  イに掲げる健康保険組合以外の健康保険組合であって、高額な医療給付の発生、報酬の水準の低下その他医療給付、保健事業及び福祉事業の実施並びに前期高齢者納付金等、後期高齢者支援金等及び日雇拠出金並びに流行初期医療確保拠出金等の納付に係る健康保険組合の財政状況に相当程度の影響を及ぼす要因に照らし、その影響を緩和することが必要であると認められるもの
    <sup>art-65/par-1/item-1/sub-2 · https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-65/par-1/item-1/sub-2</sup>
    a health insurance society other than a health insurance society listed in (a), for which it is found necessary to mitigate the impact in light of the occurrence of high-cost medical care benefits, a decline in the level of remuneration and other factors having a considerable impact on the financial situation of health insurance societies relating to the provision of medical care benefits, the implementation of healthcare services and welfare services, and the payment of young-old payments, etc., aid for the old-old, etc., day laborer contributions, and contributions for securing medical care in the early phase of an epidemic, etc.;
    <sup>machine translation, not official</sup>

  **二**  交付金の交付事業の規模及び交付方法は、健康保険組合が行う事業について、健康保険組合の自主的な運営を妨げず、かつ、健康保険組合の事業努力を失わせないよう配慮されたものであること。
  <sup>art-65/par-1/item-2 · https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-65/par-1/item-2</sup>
  the scale of the project for the provision of grants and the method of their provision are to be such that, with respect to the projects carried out by health insurance societies, consideration is given so as not to impede the autonomous management of health insurance societies and not to cause the business efforts of health insurance societies to be lost.
  <sup>machine translation, not official</sup>

**第二項**  前項の基準の適用に関し必要な事項、交付金の額の算定に関し必要な事項その他交付金の交付に関して必要な事項は、厚生労働省令で定める。
<sup>art-65/par-2 · https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-65/par-2</sup>
Matters necessary for the application of the standards in the preceding paragraph, matters necessary for the calculation of the amount of grants, and other matters necessary for the provision of grants are specified by Order of the Ministry of Health, Labour and Welfare.
<sup>machine translation, not official</sup>

**第三項**  連合会は、前項の厚生労働省令で定めるところに従い、交付金の交付に関する細目を定めなければならない。
<sup>art-65/par-3 · https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-65/par-3</sup>
The federation must, in accordance with the Order of the Ministry of Health, Labour and Welfare referred to in the preceding paragraph, specify the details concerning the provision of grants.
<sup>machine translation, not official</sup>

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## Cites
- art-65/par-1: 法附則第二条第一項 → 健康保険法 附則第二条第一項 (Supplementary Provisions, Article 2, paragraph (1)), suppl-2111-70/art-2/par-1 — https://japanlaw.org/ja/health-insurance-act/suppl-2111-70/art-2/par-1 (e-Gov law ID 211AC0000000070)
- art-65/par-1/item-1/sub-1: 法第五十三条 → 健康保険法 第五十三条 (Article 53), art-53 — https://japanlaw.org/ja/health-insurance-act/art-53 (e-Gov law ID 211AC0000000070)
- art-65/par-2: 前項 → 健康保険法施行令 第六十五条第一項 (Article 65, paragraph (1)), art-65/par-1 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-65/par-1
- art-65/par-3: 前項 → 健康保険法施行令 第六十五条第二項 (Article 65, paragraph (2)), art-65/par-2 — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-65/par-2

## Cited by

6 provisions cite this one. No official source publishes this direction.

- 健康保険法施行令 第二十九条第一項（指定の要件） — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-29/par-1
- 健康保険法施行令 第六十五条第二項（交付金） — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-65/par-2
- 健康保険法施行令 第六十五条第三項（交付金） — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-65/par-3
- 健康保険法施行令 第六十八条第一項（交付金の交付に関する細目等） — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-68/par-1
- 健康保険法施行令 第六十八条の二第一項（法附則第二条の二の規定による国庫負担） — https://japanlaw.org/ja/health-insurance-act-enforcement-order/art-68-2/par-1
- 健康保険法施行令 附則第二条第一項（病床転換支援金等の経過措置） — https://japanlaw.org/ja/health-insurance-act-enforcement-order/suppl-2153-243/art-2/par-1

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## Sources

- claude-opus-5-5 — English title of a law in this collection, written for this site, written 2026-11-06
- e-Gov 法令検索, Digital Agency (デジタル庁) — 健康保険法施行令 — the text in force from 2026-10-01 (https://laws.e-gov.go.jp/law/215IO0000000243/20261001_508CO0000000276), retrieved 2026-11-06
- claude-sonnet-5-5 — Machine translation, batch health-insurance-act-enforcement-order-20261106T164949-021, translated 2026-11-08
- claude-sonnet-5-5, corrected on review by claude-opus-5-5 — Machine translation corrected on review, batch health-insurance-act-enforcement-order-20261106T164949-021, translated 2026-11-08
- This site's parser, version 229 — 健康保険法施行令 — structure, counts, cross-references and defined terms, computed 2026-11-06